| Entity Name: | PHYSICIANS BACK & NECK CENTER ORLANDO INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Feb 2014 (11 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P14000013872 |
| Address: | 5979 VINELAND ROAD, SUITE 210, ORLANDO, FL, 32819 |
| Mail Address: | 5979 VINELAND ROAD, SUITE 210, ORLANDO, FL, 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851718563 | 2014-03-20 | 2014-03-20 | 5979 VINELAND RD, SUITE 210, ORLANDO, FL, 328197800, US | 5979 VINELAND RD, SUITE 210, ORLANDO, FL, 328197800, US | |||||||||||||||||||
|
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| Phone | +1 407-412-9226 |
| Fax | 4076502888 |
Authorized person
| Name | MS. YINA D FRASURE |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 4074129226 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | ME69749 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HANLEY ALLISON WMD | Agent | 5979 VINELAND ROAD, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| HANLEY ALLISON WMD | President | 5979 VINELAND ROAD STE 210, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| HANLEY ALLISON WMD | Vice President | 5979 VINELAND ROAD STE 210, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| FRASURE YINA D | Secretary | 1521 COROLLA CT, REUNION, FL, 34747 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2014-02-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
